Provider Demographics
NPI:1487737946
Name:MUNOZ, MARIA L (LND)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:L
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC OZ BOX 7350
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-9302
Mailing Address - Country:US
Mailing Address - Phone:787-733-5444
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION LA INMACULADA
Practice Address - Street 2:STREET 1 #103
Practice Address - City:LAS PIEDNAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-733-4261
Practice Address - Fax:787-716-1250
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR222133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR821520OtherMEDICARE Y MUCHO MAS
PR821520OtherMEDICARE Y MUCHO MAS